ERA – CARC and RARC in Claim Payment Details

With this release, when you are viewing the details of a patient’s claim payment, in the Service Payment Information section, along with full payment details, Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) now appear, which can help you apply the payment correctly or attach the ERA to a secondary claim for processing. The codes appear in green text next to the applicable amounts for each procedure. Then, below the procedures, each code is listed with a description.

Note:

  • CARC – These codes describe why a claim or service line was paid differently than it was billed.
  • RARC – These codes provide additional explanation for an adjustment already described by a CARC or convey information about remittance processing.